Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04959 | Date 25/08/2023 |
| Token No | SM/24-25/36837 12/03/2025 | Serial | 025 |
| Patient Name | Mrs. KUMKUM DAS | Contact No | 9330340765 |
| Address | 52/A PRAVASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||